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226721 12/03/2013 CITY OF CARMEL, INDIANA VENDOR: 361521 Page 1 of 1 0 ` ONE CIVIC SQUARE ANTHONY KEATON CARMEL, INDIANA 46032 7655 MADDEN LANE CHECK AMOUNT: $175.00 FISHERS IN 46038 CHECK NUMBER: 226721 CHECK DATE: 12/3/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4343002 175 . 00 ,EXTERNAL TRAINING TRA 4�tv OF Cqy �Q,RTF.gyyp� CITY OF CARMEL Expense Report (required for all travel expenses) '/NDIANP-' EMPLOYEE NAME: DEPARTURE DATE: \ - �� -,�3 TIME: AM DEPARTMENT. RETURN DATE: TIME: AM REASON FOR TRAVEL: �a 5-���� `�� b- DESTINATION CITY: EXPENSES ARE FOR (check all that apply): TR EL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM Transportation GaS/To. IIs/ Meals Date Parkin Lodging Misc. Total Air-fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem $0.00 11/17/13 $25.00 $25.00 11/18/13 $50.00 $50.00 11/19/13 $50.00 $50.00 11/20/13 1 $50.00 $50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 0.00 Total $0.00 $0.001 $0.001 $0.001 $0.00 $0.00 $0.00 $0.00 $0.00 $175.001 $0.00 10 DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy ancGUwrth% ri 3epartment's appropriated budget. Director Signature: Date: ; City of Carmel Form#ER06 Revision Date 11/22/2013 Page 1 HILTON FORT WAYNE AT THE GRAND WAYNE CONVENTION CENTER g gl�t on 1020 South Calhoun Street I Fort Wayne,IN 46802 FORT WAYNE AT THE GRAND WAYNE T: 260 420 1100 1 F: 260 424 7775 CONVENTION CENTER W:hilton.com NAME AND ADDRESS: KEATON,ANTHONY Room: 317/K1 X Arrival Date: 11/17/2013 2:41:OOPM Departure Date: 11/20/2013 FISHERS, IN 46038 US Adult/Child: 1/0 Room Rate: 99.00 RATE PLAN C-IAI HH# AL: CAR: CONFIRMATION NUMBER: 3540566142 11/20/2013 PAGE 1 HILTON HHONORS DATE REFERENCE DESCRIPTION AMOUNT 10/11/2013 2105284 CHECK(NUMBER 224919) ($359.58) NA 11/17/2013 2125298 `PARKING $7.00 11/17/2013 2125299 GUEST ROOM $99.00 r ' 11/17/2013 2125299 OCCUPANCY TAX $6.93 11/17/2013 2125299 STATE TAX $6.93 11/18/2013 2125591 'PARKING $7.00 11/18/2013 2125592 GUEST ROOM $99.00 CONP%i%D 11/18/2013 2125592 OCCUPANCY TAX $6.93 11118/2013 2125592 STATE TAX $6.93 11/19/2013 2126004 'PARKING $7.00 11/19/2013 2126005 GUEST ROOM $99.00 i 11/19/2013 2126005 OCCUPANCY TAX $6.93 Hilton 11/19/2013 2126005 STATE TAX $6.93 *'BALANCE'" $0.00 q tii iSn ACCOUNT NO, DATE OF CHARGE FOLIO NO./CHECK NO. ,Rrntphw 471638 B CARD MEMBER NAME AUTHORIZATION INITIAL H0N,'Ev:Qk)'D ESTABLISHMENT NO.&LOCATION ESTABLISHMENT AGREES TO TRANSMIT TO CARD HOLDER FOR PAYMENT PURCHASES&SERVICES TAXES g '•-1O#�� TIPS&MISC. CARD MEMBER'S SIGNATURE TOTAL AMOUNT s; MERCHANDISE AND/OR SERVICES PURCHASED ON THIS CARD SHALLNOT BE RESOLD OR RETURNED FOR ACASH REFUND. PAYMENT DUE UPON RECEIPT HIl1}tl ME g INTERNATIONAL ASSOCIATION OF ARSON INVSTIGATORS INDIANA CHAPTER No. 14 a P.O. Box 80132 hg, Indianapolis. IN 46280 G�Offq CH4VfERN� EW010E BILL TO: Tony Keaton DATE INVOICE# Carmel Fire Department 2 Civic Square 8/30/13 01.19 Carmel, IN 46032 P.O. No. TERMS Due upon receipt DESCRIPTION OTY RATE AMOUNT EWCT Expert Witness Courtroom Testimony 1 375.00 375.00 November 18, 19, and 20 GRAND TOTAL 375.00 Please remit payment to address below before September 16, 2013 "Please remind all registered students of the dates, rimes, and courses that they have been signed up for. COMMENTS: Please submit Check to: Indiana Chapter of the International Association of Arson Investigators Post Office Box 69 Spencerville, Indiana 46788 `0Of4f. INTERNATIONAL ASSOCIATION OF ARSON INVSTIGATORS INDIANA CHAPTER No. 14 I P.O. Box 80132 Indianapolis,IN 46280 lyot4�q CHAt�QN�`p Expert Witness Courtroom Testimony Presented by the Indiana Chapter of the IAAI Course Dates: November 18,19,and 20, 2013 Course Instructors: Steve Shand Course Locations: Allen Circuit Couirt Dave Kloss 715 South Calhoun Street Fort Wayne, Indiana 46802 Course Fee of S375 includes: Attorney fees.-course-materials and refreshment breaks Course materials(presented on a.dise) will he nailed to each participant. upon rece pl.of registration fornt and class fees. The materials must be reviewed and "homnework"must, he completed prior to t:he course,. Course Requirements: Laptop computer, business suit:or department. uniform (fir court,.room test.in►ony). Course schedule: Nov. 1.8, 2013 "8:30—7:00 Class room presentations and meeting with attorney Nov. 19, 201.3 8:30—:3:00 Courtroom testimonv l\iov. 20. 20.13 8:30- 2:00 Case st►n teary and critiques l,odgi►iP To be determined at.-later date **It is recommended that all participants stay at the same location for after-hours discussion. Registration: this form and an aceompan ying check for$375must he received by September 16,2013, or the seat t►,ill be forfeited and ni ven to another participant. Due to the amount ofcourse material retnew time, once payment is received, there will be NO R.CFUNDS. Please-make checks payable to IAAI Indiana Chapter I4. Submit the check and this form by September 16,2013,to Shand Forensic Investigations,18322 State Road 101, Spencerville,IN. Name: IAAI Membership# Organization: Address: Phone#: Alternate Phone#: email Should you have any questions about this form or the course,please contact stove @shand.forensic.com VOUCHER NO. WARRANT NO. ALLOWED 20 Tony Keaton IN SUM OF $ $175.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 I I 43-430.02 I $175.00 1 hereby certify that the attached invoice(s), or bill(s) is (are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 01:1 ° 2 201' Fire Chlef Title Cost distribution ledger classification if claim paid motor vehicle highway fund prescribed by State Board of Accounts City Form No.201 (Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL 4n invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) $175.00 1 hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Clerk-Treasurer